InHealth Consulting, Maputo 1100, Mozambique.
Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 1349-008 Lisboa, Portugal.
Int J Environ Res Public Health. 2020 Oct 28;17(21):7897. doi: 10.3390/ijerph17217897.
In Portugal, the majority of immigrants come from Portuguese-speaking countries. Among children, overweight and obesity are serious public health concerns, but a few studies include children with immigrant background. This study aimed to estimate the prevalence of overweight and obesity and risk of abdominal obesity in school-age children and to explore potential determinants, considering the origin of the children's parents (both mother and father are non-Portuguese, only one Portuguese, and both are Portuguese). A cross-sectional study included a random sample of 789 children (5-11 years old, 49.2% of males and 50.8% female) attending public primary schools in Barreiro, district of Setubal, Portugal. Fieldwork occurred from 20th April to 3rd July 2009. Data concerning socioeconomic, eating habits, and sports outside school were obtained through a questionnaire applied to the children's person in charge. Anthropometric measures were collected by certified technicians. One-third of the children presented overweight and obesity (33.7%, 95% CI [30.0; 37.7]) and risk of abdominal obesity (16.4%, 95% CI [13.6; 19.7]) without differences according to parents' origin. Children with immigrant background presented higher consumption of low-priced, high-sugar, and high-fat foods, with a worse situation for girls. Females from both non-Portuguese parents also practiced less sports outside school than those where one or two parents are Portuguese. Thus, promoting and monitoring a healthy diet and physical activity in this group should be prioritized in this local setting.
在葡萄牙，大多数移民来自葡语国家。在儿童中，超重和肥胖是严重的公共卫生问题，但少数研究包括有移民背景的儿童。本研究旨在评估学龄儿童超重和肥胖的流行率以及腹型肥胖的风险，并考虑到儿童父母的原籍国（父母双方均非葡萄牙人、仅一方是葡萄牙人以及双方均是葡萄牙人）来探讨潜在的决定因素。这是一项横断面研究，纳入了来自葡萄牙塞图巴尔区巴雷罗市公立小学的 789 名随机抽样儿童（5-11 岁，49.2%为男性，50.8%为女性）。现场工作于 2009 年 4 月 20 日至 7 月 3 日进行。通过向儿童负责人发放问卷收集有关社会经济、饮食习惯和校外体育活动的数据。由认证技术人员收集人体测量学指标。三分之一的儿童超重和肥胖（33.7%，95%CI[30.0;37.7]）以及腹型肥胖风险（16.4%，95%CI[13.6;19.7]），与父母原籍国无关。有移民背景的儿童食用低价、高糖和高脂肪食物的比例较高，女孩的情况更糟。来自父母双方均非葡萄牙人的女孩在校外体育活动方面的参与程度也低于父母一方或双方为葡萄牙人的女孩。因此，在这种情况下，应该优先在当地环境中促进和监测该群体的健康饮食和体育活动。
